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Addressing disparities in tobacco-related diseases by understanding the tobacco industry strategies

通过了解烟草业战略来解决烟草相关疾病的差异

基本信息

批准号：
10668943
负责人：
STELLA AGUINAGA BIALOUS
金额：
$ 65.34万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10668943
关键词：
Accounting Address Ally Businesses Cannabis Cannabis policy Cause of Death Cessation of life Collaborations Communication Communities Devices Diffusion Diffusion of Innovation Disease Disparity Educational Status Electronic cigarette Electronics Environment Ethnic Origin Face Future Gender Harm Reduction Health Policy Health Professional Hearing Housing Industry Inequity Intervention Interview JUUL Legitimacy Libraries Malignant Neoplasms Marketing Minority Minority Groups Modeling Morbidity - disease rate Motivation Nicotine Parents Pharmacologic Substance Policies Policy Maker Politics Positioning Attribute Poverty Provider Public Health Publishing Race Reduce health disparities Regulation Reporting Research Research Personnel Resources Risk Sales Sex Orientation Smoking Tobacco Tobacco Industry Tobacco use Tobacco-Related Carcinoma Vaporizer Vulnerable Populations Work burden of illness disparity reduction ethnic minority experience health disparity health equity health equity promotion heated tobacco products informant innovation minority communities mortality news nicotine use novel programs public policy on tobacco racial minority social theories tobacco advertising tobacco control tobacco flavor tobacco products vaping vector

项目摘要

ABSTRACT Tobacco use is the leading preventable cause of death and is responsible for a third of cancer deaths in the US. Tobacco-induced diseases and mortality are not equally distributed. Racial, ethnic, gender and sexual orientation minorities, as well as those living below the poverty line and with lower levels of education, have disproportionately higher rates of tobacco use and higher rates of tobacco-induced cancers. Tobacco control policies to date have not adequately addressed these inequities. The tobacco industry is the vector of tobacco- induced disparities. Therefore, reducing the burden of tobacco-induced disparities requires understanding how the industry targets minority communities and cultivates social, policy, and regulatory environments favorable to tobacco use. This understanding is ever more important as the landscape of tobacco products is evolving rapidly as tobacco companies expand their portfolio of products and reposition themselves as providers of tobacco harm reduction. The number and diversity of tobacco and nicotine products is increasing to include electronic cigarettes, electronic pod devices, heated tobacco products, and other nicotine vaporizers. Tobacco and the electronic cigarette companies are also expanding into the cannabis business. The impact of this expansion in exacerbating existing tobacco-related disparities is unknown. Policymakers face a new challenge in promoting tobacco-related health equity: responding to tobacco industry opposition to regulation while developing interventions appropriate for novel tobacco products, and increasingly, cannabis products sold by the same companies. However, local policy innovations are being implemented. We will explore how policymakers consider different policies in attempting to decrease health disparities. We will use industry documents, key informant interviews, publicly available policy documents (e.g., public hearings), published reports, and news media, to pursue three Specific Aims: 1)Analyze evolving tobacco industry strategies, in collaboration with third parties and allied industries, to influence public health policies and tobacco product regulations in ways that exacerbate health disparities; 2)Understand tobacco industry marketing strategies that seek to normalize nicotine use (including in new tobacco and nicotine products) and communicate claims of reduced risk, and how these target racial/ethnic minorities and other vulnerable groups; and 3) Analyze innovative local- and state-level tobacco and cannabis policies to understand how diffusion of these policies and interaction between them can support the reduction of tobacco-related health disparities and promote equity. This unique scientific contribution can inform future public health programmatic, policy, and regulatory strategies addressing the evolving industry and products while focusing on health equity.

摘要吸烟是最主要的可预防的死亡原因，也是我国三分之一的癌症死亡原因。我们。烟草引起的疾病和死亡率并不均匀分布。种族、民族、性别和性别定向少数群体以及生活在贫困线以下和受教育程度较低的人有不成比例的更高的烟草使用率和更高的烟草致癌率。烟草控制迄今为止的政策还没有充分解决这些不平等问题。烟草行业是烟草的载体- 引起的差异。因此，减轻烟草引起的差异的负担需要了解如何该行业以少数族裔社区为目标，培养有利的社会、政策和监管环境。对烟草的使用。随着烟草产品格局的演变，这种理解变得更加重要随着烟草公司扩大其产品组合并将自己重新定位为减少烟草危害。烟草和尼古丁产品的数量和多样性正在增加，包括电子烟、电子吊舱设备、加热烟草产品和其他尼古丁蒸发器。烟草电子烟公司也在向大麻业务扩张。这件事的影响扩大扩大现有的与烟草有关的差距是未知的。政策制定者面临新的挑战在促进与烟草相关的健康公平方面：回应烟草行业对法规的反对为新的烟草产品制定适当的干预措施，并日益增加大麻产品的销售量同样的公司。然而，地方政策创新正在实施。我们将探讨如何政策制定者在试图缩小健康差距时考虑了不同的政策。我们将利用工业文件、关键线人访谈、可公开获取的政策文件(例如，公开听证会)，已出版报道和新闻媒体，以追求三个具体目标：1)分析不断演变的烟草行业战略，与第三方和相关行业合作，影响公共卫生政策和烟草产品以加剧健康差距的方式制定法规；2)了解烟草行业的营销策略寻求使尼古丁的使用正常化(包括在新的烟草和尼古丁产品中)，并宣传降低风险，以及这些措施如何针对种族/少数民族和其他弱势群体；以及3)分析创新的地方和州一级烟草和大麻政策，以了解这些政策如何传播它们之间的互动可以支持减少与烟草有关的健康差距，并促进公平。这一独特的科学贡献可以为未来的公共卫生规划、政策和监管提供信息应对不断发展的行业和产品的战略，同时关注健康公平。